PINECONE VISION CENTER, PA
NPI 1295468098
Optometrist in St. Cloud, MN
About Pinecone Vision Center, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINECONE VISION CENTER, PA (NPI 1295468098), doing business as Pinecone Vision Center St. Cloud, is a healthcare organization registered as an optometrist in St. Cloud, Minnesota and active in the NPI registry since July 2022. The organization holds 2 active CLIA laboratory certificates and lists Christina Haux, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pinecone Vision Center, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Pinecone Vision Center, PA, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Bellevue, WA 98007
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D1054445
Pinecone Vision Center · Sartell, MNCertificate of Waiver 24D2272754
Pinecone Vision Center · Saint Cloud, MNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pinecone Vision Center, PA's NPI number?
The NPI number for Pinecone Vision Center, PA is 1295468098. It was assigned to this organization in the NPPES registry on July 8, 2022. The provider is doing business as PineCone Vision Center St. Cloud.
Where is Pinecone Vision Center, PA located?
Pinecone Vision Center, PA is located at 3274 Nottingham Rd S, St. Cloud, MN 56301. The listed phone number is (320) 258-3915.
What is Pinecone Vision Center, PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Pinecone Vision Center, PA enrolled in Medicare?
Yes. Pinecone Vision Center, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pinecone Vision Center, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Optometry, reassign their Medicare billing to Pinecone Vision Center, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pinecone Vision Center, PA hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Pinecone Vision Center, PA accept?
Health plans from HealthPartners and Medica list Pinecone Vision Center, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pinecone Vision Center, PA was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pinecone Vision Center, Pa · NPI 1295468098
Optometrist organization in St. Cloud, Minnesota. Organization record, active in the CMS NPPES registry since July 8, 2022.
## Identity
- **NPI:** 1295468098 (Entity type: Organization)
- **Enumerated:** July 8, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** PineCone Vision Center St. Cloud (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Christina Haux, MANAGER
## Practice location
- **Address:** 3274 NOTTINGHAM RD S, St. Cloud, MN 56301
- **Phone:** (320) 258-3915 · **Fax:** (320) 258-3917
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2022
- **Other identifiers:** Medicaid 1790830701 (MN)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295468098) · Data from the CMS NPPES public registry.